Methodological Assessment of Economic Evaluations of Alcohol Treatment: What Is Missing?
Methodological Assessment of Economic Evaluations of Alcohol Treatment: What Is Missing?
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DOI：
10.1093/alcalc/agp067
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发表时间：
2010-01-01
影响因子：
2.8
通讯作者：
Parrott, Steve
中科院分区：
文献类型：
--
作者：
Barbosa, Carolina;Godfrey, Christine;Parrott, Steve
目的：本研究的目的是回顾以往酒精治疗经济评价中采用的方法，并提出研究建议，以期加强酒精领域经济评价的一致性和协调性。方法：通过系统检索检索已发表的有关酒精治疗的全部经济评价。对这些研究进行了分析，包括用于评估社会层面后果的识别、测量和评估方法，以及用于分析干预措施的个人层面后果和成本的方法。制定了与酒精有关的后果分类，并将其用作方法提取的框架。结果：选取了27项研究。几乎一半的研究在分析中没有考虑社会层面的后果。在社会层面上，酒精治疗的一些后果，例如治疗对饮酒者的家人和朋友的健康相关生活质量的影响，从未在经济分析中考虑过。对于评价中使用的个人健康后果，没有达成一致意见。捕获生命年数和发病率的措施尚未广泛用于酒精领域。所审查的研究报告治疗费用的水平一般都很详细。结论：这方面的文献还比较少，需要进一步的研究来填补空白。如果在今后对酒精治疗进行经济评价时采用一种共同的方法，将产生更稳定的成本效益估计，并有可能就酒精治疗的资源分配作出知情决定。
Aim: The aim of this study is to review the methodology that has been adopted in previous economic evaluations of alcohol treatment and offer research recommendations with a view to enhancing the consistency and harmonization of economic evaluations in the alcohol field. Methods: Published full economic evaluations of alcohol treatment were retrieved using a systematic search. The studies were analysed in terms of the identification, measurement and valuation methods used to assess the society-level consequences and the methods used to carry out the analysis of individual-level consequences and costs of the intervention. A taxonomy of alcohol-related consequences was developed and used as a framework for the methodology extraction. Results: Twenty- seven studies were selected. Almost half of the studies did not include society-level consequences in their analysis. Some consequences of alcohol treatment at a societal level, such as the impact of treatment on health-related quality of life of family and friends of the drinker, have never been considered in the economic analysis. There was no agreement regarding the individual health consequences used in the evaluations. Measures capturing life years and morbidity have not been extensively used in the alcohol field. The level of reporting treatment costs on the reviewed studies is generally well detailed. Conclusion: The literature is still rather sparse in this area and further research is required to fulfil the gaps. If a common methodology is adopted in future economic evaluations of alcohol treatment, more stable cost-effectiveness estimates will be produced and informed decisions for resources allocation to alcohol treatments will be possible.